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C H A R A C T E R I S T I C S O F S T U D I E S<br />

Characteristics of included studies [ordered by study ID]<br />

Applegate 1990<br />

Methods Year: 1990<br />

Location: Memphis, USA (1500-bed rehabilitation hospital)<br />

Team/ward?: ward<br />

Timing: stepdown<br />

Trial methodology: randomised controlled trial<br />

Participants Numbers (<strong>to</strong>tal): 155<br />

Mean age: 78.8<br />

Male:female ratio: 24% male<br />

Inclusion criteria: over 65, at risk <strong>for</strong> nursing home placement and/or functional impairment<br />

Some patients under 65 were considered if they met the criteria<br />

Exclusion criteria: unstable medical conditions; short-term moni<strong>to</strong>ring required; survival<br />

less than 6 months; serious chronic mental impairment; nursing home placement<br />

inevitable<br />

Patient selection criteria: selected<br />

Interventions Team members: specialist nurse, ward nurses, social workers, physiotherapists, occupational<br />

therapists, dieticians, speech and language pathologists, audiologists, psychologists<br />

Team organisation: comprehensive <strong>assessment</strong>, multidisciplinary meetings at least<br />

weekly, regular use of standard <strong>assessment</strong> <strong>to</strong>ols<br />

Outcomes Outcomes: mortality, ADL, days spent in nursing homes, mood, and cognition at 6<br />

months and 1 year<br />

Trial conclusions: improved function and reduced nursing home admission<br />

Notes<br />

Risk of bias<br />

Bias Authors’ judgement Support <strong>for</strong> judgement<br />

Random sequence generation (selection<br />

bias)<br />

Low risk Computer-generated random number sequences<br />

stratified by patient risk of nursing<br />

home admission<br />

Allocation concealment (selection bias) Unclear risk No data available<br />

Blinding (per<strong>for</strong>mance bias and detection<br />

bias)<br />

All outcomes<br />

<strong>Comprehensive</strong> <strong>geriatric</strong> <strong>assessment</strong> <strong>for</strong> <strong>older</strong> <strong>adults</strong> <strong>admitted</strong> <strong>to</strong> hospital (Review)<br />

Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

Unclear risk Patient and staff were not blinded <strong>to</strong> allocation.<br />

Outcome <strong>assessment</strong>s were conducted<br />

by staff not involved in routine care<br />

but blinding of outcome assessors <strong>to</strong> treatment<br />

allocation is not clear.<br />

21

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